NPI | 1336309129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD205094) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT188356) |
Enumeration Date | 2008-06-15 |
Last Update Date | 2012-04-26 |